THE ARMED FORCES

 OPTOMETRIC

SOCIETY

     

MEMBERSHIP APPLICATION

 

DUES STRUCTURE:  

AFOS:     (For 2010 calendar year)

            Less than 2 yrs Service….. $   45

            Greater than 2 yrs Service..$ 100

            Associate………………... .$  40

            Student…………………. ..$   15

            Life (Ret.) (1 time pay)…...$250

 

AOA:       (For 2010 calendar year)

            1st full yr after grad……$  76.80

2nd full yr after grad...….$153.60

            3rd full yr after grad…….$384.00

            4th  full yr after grad……$576.00

            5th full yr after grad…   ..$768.00

 

 

Any person who becomes an “active member” of AFOS must also become an AOA member.

AFOS and AOA dues are assessed annually on the first of January each year.   

AOA Membership:  A newly licensed optometrist qualifies for a reduced, ascending schedule of dues

for the first four years of membership following his/her original licensure.  In the case of a member who has completed a residency, AOA will use the year in which he/she completed the residency as the original license year regardless of the fact that the member may have been originally licensed before that year.  Dues are prorated on a quarterly basis for the year in which the member joins the association.  The quarter in which the member joins determines the amount of dues for that year.

AFOS Membership:   Any optometrist applying for “Active Membership” on or after July 1 will have their dues prorated on a semiannual basis to either $22.50 or $50 whichever is applicable.  Associate, student, life, and partial practice members are not prorated.

CALCULATION OF DUES ASSESSMENT

ASCENDING DUES SCHEDULE:

                                                               Full Year

        1st Quarter

    2nd Quarter

    3rd Quarter

 4th Quarter

                                                            No Proration

    Jan 1 - March 31

April 1 - June 30

July 1 – Sept 30

Oct 1 - Dec 31

Year of licensure                                                                 No dues assessed

1st year following licensure

        $  76.80

         $  57.60

      $  38.40

         $  19.20

        $0.00

2nd year following licensure

        $153.60

         $115.20

      $  76.80

         $  38.40

        $0.00

3rd year following licensure

        $384.00

         $288.00

      $192.00

         $  96.00

        $0.00

4th year following licensure

        $576.00

         $432.00

      $288.00

         $144.00

        $0.00

5th year and thereafter

        $768.00

         $576.00

      $384.00

         $192.00

        $0.00

               

 

 

 

 

 

 

 

 

 

 

 

 

NOTE:  AFOS dues are due in full on 1 Jan.  AOA dues may be paid in full or quarterly.  Quarterly  AOA payments of $184.00  are due on 1 Jan, 1 April, 1 July and 1 Oct.

 

  Enter your payments via PayPal and then use the form below to submit your information.

Click here for a printable form to include with your check.
 

Make checks payable to AFOS and send all payments to 904 Vista Grande St. Paso Robles CA 93446

 

 

Please provide the following contact information:

Name Last, First 
Street address
Address (cont.)
City
State
Zip code
Phone
Business address
Address (cont.)
City
State
Zip code
Phone
E-mail
Gender: Male Female
Maiden Name (if applicable)
Send Mail to: Home Business
Date of Birth
Optometry School Attended:
 Graduation Date:
Original License Date:
List State(s) License in:
Have you completed a residency? Yes No
Date Entered Full time Federal Service:

Full Time Federal Service (Active Members)

Branch USA USN USAF PHS VA CS

Associate Previous Service

Branch USA USN USAF PHS VA CS
Currently:

Reserve National Guard
Part Time:

VA CS
AOA Member through (state)

Previous or present AOA member?

Yes No
If yes AOA number

Student
 (Service Providing Scholarship)

   
Previous AOA Member

Yes No

If yes, affiliated organization(s) and date(s):

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